Happy to share the publication of a very interesting case report, published in the 'Journal of Orthopedic case reports'. The first author is the renowned spine surgeon @modispine (Dr. Hitesh Modi)
The Patient has a spinal tumor which was thought to be the cause of the Quadriparesis.
However, it turns out the patient has hypokalemic period paralysis secondary to Primary aldosteronism
The patient made a full recovery with medical management
• • •
Missing some Tweet in this thread? You can try to
force a refresh
GLP-1 and GIP are both incretin hormones. Incretins are the X factor in the pathogenesis of type 2 diabetes and are a key component of the 'Ominous octet' - the 8 factors that cause type 2 diabetes. Contd..
But GLP-1 and GIP have subtle differences
GLP-1 inhibits insulin and also inhibits glucagon secretion
@shuomi3 is a very smart guy.I love his YouTube videos on note making, especially the one on Zettelkasten method for research. I have made a modified easy to understand modification of the same for doctors and medical researchers, read on...
The first step make small notes while reading a review article or a research paper in your own words. @shuomi3 calls this "Literature notes"
For example while reading a review article of "Hypophysitits" , I came across a great clinical pearl that if we have a male with hypophysititis, we have to consider IgG4 disease. Goes into my Roam notes.
My father is a working professor of medicine. Been in academics all his life. Back in the day, he was very interested in neurology and took up DM Neurology in Mumbai
When he left for DM, he was already working as an Assistant Professor in a government medical college and he had to leave the job for obvious reason to join the DM course. We were living in staff quarters which we had to vacate.
I am sure you have heard of the term "Getting into the zone" or being in the "Flow state"
"In positive psychology, a flow state, also known colloquially as being in the zone, is the mental state in which a person performing some activity is fully immersed in a feeling of energized focus, full involvement, and enjoyment in the process of the activity"
Everybody gets into the "Flow state" with some work or hobby